Utilization Review Assistant Manager Registered Nurse / RN

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

 

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, and leadership programs
• And more

Description

Remote Position

 

We're seeing an Assistant Manager, Utilization Review (Registered Nurse / RN) responsible for supervising and coordinating activities of personnel in the Utilization Review Department, including staff schedules to ensure appropriate department coverage, equitable daily staff assignments, and timely completion of assignments. This individual will:

• Provide staff support by overseeing workflows/processes, ensuring job responsibilities and delegated duties are understood.
• Assist with staff education and implementing new processes/workflows.
• Assist with staff performance evaluations, create performance competencies and goals, develop guidance and training for improvement, and maintain employee personal records. 
• Assist with monthly staff quality audits to ensure compliance of Emory Healthcares Utilization Review Plan, regulatory guidelines, and department policies and procedures.
• Assist with communication between the Hospitals Case Management Department and Utilization Review Department.
• Assist with representing the Utilization Review Department by participating in interdisciplinary care rounds, complex care rounds or other committees to improve interdepartmental communication and hospital efficiency.
• Assist in collaborative efforts with the Case Management Department, Revenue Cycle, Physician Advisors and other departments. 

Minimum Qualifications:

• Must have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia Licensing Board.
• Bachelor's degree in nursing required, but Master's degree in nursing or related healthcare field preferred.
• At least 3 years of experience in Utilization Review required.
• At least 3 years of healthcare experience required.
• Case Management certification (CCM or ACM) preferred.
• Leadership experience preferred. Proven ability to coach, mentor, and lead. Demonstrates leadership abilities.
• Must live in one of the following states: Georgia, Alabama, Florida, Arkansas, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.   

Additional Details

Supporting a diverse, equitable and inclusive culture.  Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members.  Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. 

 

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”  

 

PHYSICAL REQUIREMENTS: (Medium Max 25lbs): up to 25 lbs, 0-33% of the wo